Deborah Simonds, MS
Individual provider Active NPI Mental Health Counselor · Cottondale, FL
NPI 1104388891 · NPPES record last updated Apr 2, 2019
Key facts
- NPI
- 1104388891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- IMH16478 (FL)
- Practice address
- 65 Restwell LN
Cottondale, FL 32431-9131 - Phone
- (850) 598-2850
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
263 Shutt LN
Chipley, FL 32428-4174
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114000517 | FL | Practitioner - Mental Health Counselor | 0345778767 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH16478 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Simonds LLC | Current |
Accepting new patients | |
| Compass Health, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH16478 | FL | Yes |
Addresses
Primary practice location
65 Restwell LN
Cottondale, FL 32431-9131
Mailing address
65 Restwell LN
Cottondale, FL 32431-9131
Phone (850) 598-2850
Other practice location 1
65 Restwell Ln
Cottondale, FL 32431-9131
Phone (850) 598-2850
Other providers in Cottondale, FL
- Michael W Jeter
- Connie Kowitz
- Kodie Michelle Morris
- Chelsea Marie Richard
- Secure Ride Solutions
- Kijuana Smith
- Turning Stones Counseling Services LLC
- Tina Marie White
- Carolyn Young
All providers in Cottondale, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.